Labor, Induced, Obesity, Pregnancy
Conditions
Keywords
obesity, labor, induced, pregnancy, cervical ripening, dinoprostone
Brief summary
The purpose of this study is to compare the efficacy of single balloon foley catheters to dinoprostone for the induction of labour of obese women. The investigators suspect that women assigned to the foley group will have a shorter induction to delivery time than women in the dinoprostone group.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Obese (BMI \>30 before 20 weeks gestational age) * Singleton pregnancy * Vertex presentation * Bishop Score \<6 * Intact membranes * Gestational age 37+0 to 42+0 * Normal fetal heart tracing on admission for ripening
Exclusion criteria
* Induction of labour for intrauterine fetal demise * Intrauterine growth restriction * Suspected abruption at the start of induction * Any contraindication for a vaginal delivery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time(hours) from initiation of induction of labour to vaginal delivery | Will be assessed at the end of each vaginal delivery |
Secondary
| Measure | Time frame |
|---|---|
| Number of cesarean sections in each group | 2 years |
| Number of operative vaginal deliveries in each group | 2 years |
| Number of chorioamnionitis cases in each group | 2 years |
| Number of patients that required oxytocin administration in each group | 2 years |
| Number of vaginal deliveries within 24 hours in each group | 2 years |
| Number of babies that required neonatal intensive care unit (NICU) admission in each group | 2 years |
| Number of babies that had an arterial pH <7 in each group | 2 years |
| Number of babies that had an APGAR score <7 at 5 minutes | 2 years |
| Number of patients that required an epidural in each group | 2 years |
Countries
Canada